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Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty


1 Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
A V Varsha
Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_36_17

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Year : 2017  |  Volume : 20  |  Issue : 4  |  Page : 456-458

 

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We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized.






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1 Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
A V Varsha
Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_36_17

Rights and Permissions

We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized.






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